South America, is caused by the hemoflagellate, protozoan, Trypanosoma cruzi transmitted mainly by vector contamination and blood transfusion. The parasite is found in the vertebrate host in two stages: trypomastigotes and amastigotes. The trypo-mastigotes are first inoculated as metacyclics, which invade the host mucosa or the broken skin, through contaminated feces and urine of the tri-atoma vector. They transform and divide as intrac-ellular amastigotes, the multiplicative forms, to emerge as trypomastigotes, which circulate in the blood and re-invade various cells, promiscuously. The amastigotes are intracellular but may main-tain the cycle without trypomastigotes, as demon-strated in vitro with stage specific monoclonal an-
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AU Krettli (1999) studied this question.
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